1.0 Skin Lesions Claim Form (SL2WPHO) +
SL2.WPHO N WPHO Skin Lesions Claim Form PW 1 0 0 1 N C:\\HLINK\\XML_out F JScript 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 M001007 20081209111152 SFE MONACO M 20210121143326 SFE ARTHURSURFACEPR M 0 0 0 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 WPHO Whanganui Regional PHO 20040101000000 NA NA N 20081003092823 SFE MONACO M 0 SL2.WPHO 6 5 F SUBMIT.SL Submit Claim N 0 0 0 0 0 0 0 0 N SL2.WPHO 11 1 F DIRTY.WF N 0 0 0 0 0 0 0 0 D 1 SL2.WPHO 12 3 F STATE.WF N 0 1 0 0 0 0 0 0 D 2 SL2.WPHO 13 4 F STATEX.WF N 0 1 0 0 0 0 0 0 D 3 SL2.WPHO 14 2 F REFCLAIM.SL Referral Claim N 0 0 0 0 0 0 0 0 D 4 SL2.WPHO 6 SUBMIT.SL Yes SL 1 SL2.WPHO 14 REFCLAIM.SL Yes SLC 0 SL2.WPHO LOCALITY Locality WRHN 1 SL2.WPHO LOCATION Location of Code Live 2 SL2.WPHO LOCALITY WRHN SL2.WPHO LOCATION Live SL2.WPHO LOCATION Test SL Skin Lesions Claim Form 0 20081209111311 SFE MONACO M 20081209111311 SFE MONACO M 0 WF Web Form Generic Fields 0 20110131115827 SFE PROCON-KEN M 20110131115827 SFE PROCON-KEN M 0 DIRTY.WF WF Field to use to make form dirty * 20110131115907 SFE PROCON-KEN M 20110131115907 SFE PROCON-KEN M 0 REFCLAIM.SL SL Referral CLaim * 20210128160314 SFE ARTHURSURFACEPR M 20210128160328 SFE ARTHURSURFACEPR M 0 STATE.WF WF Hidden field to store state * 20071107114241 NA NA M 20081007121843 NA NA M 0 STATEX.WF WF Hidden field to store eXtra state * 20081007121834 NA NA M 20081007122145 NA NA M 0 SUBMIT.SL SL Submit claim to PHO * 20081216152824 SFE MONACO M 20210128160144 SFE ARTHURSURFACEPR M 0 DIRTY.WF T 1 1 REFCLAIM.SL B 8 1 STATE.WF T 8 1 STATEX.WF T 8 1 SUBMIT.SL B 8 1 REFCLAIM.SL Yes 1 SUBMIT.SL Yes 1